- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation ... high levels of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on cases referred by case management and/or… more
- CommonSpirit Health (Houston, TX)
- …and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... state of Texas required. + Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of clinical practice required. + Experience… more
- Ascension Health (Austin, TX)
- …the time of the offer._ **Responsibilities** **Position Highlights** Ascension Seton is looking for a Physician Advisor to join our team. We are looking for a ... Physician with at least 5 years of recent work...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are… more
- Houston Methodist (Houston, TX)
- …appropriate, by analyzing clinical protocols. + Escalates appropriate cases to the Physician Advisor (or services) for appropriate second level review, peer-peer ... discussions, and payer denial- appeal needs. Consults with physician advisor as necessary to resolve progression-of-care barriers through appropriate… more
- Houston Methodist (The Woodlands, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
- Sedgwick (Irving, TX)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Houston Methodist (Cypress, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to… more
- Sedgwick (Irving, TX)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Houston Methodist (Houston, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to… more
- Sedgwick (Irving, TX)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... + Negotiates return to work with or without job accommodations via the claimants physician and employer. + Refers cases as appropriate to team lead and clinical case… more
- HCA Healthcare (San Antonio, TX)
- …care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. **What qualifications you will need:** Education: Graduate ... of an accredited diploma, associates, or baccalaureate degree nursing program. Experience: Minimum of 3 years clinical experience in area in which Case Management will be performed. Employee completes initial and ongoing training and competencies as defined by… more
- HCA Healthcare (Fredericksburg, TX)
- …level of care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. + You will document the findings of the Discharge ... Planning Evaluation (DPE) and psychosocial assessments. You will communicate the social, financial, or discharge needs and preferences of the patient/family/caregiver. + You will assume accountability for promoting consistent, positive patient interactions… more
- Vighter Medical Group (Dallas, TX)
- …and adults, to include emergency and urgent care. + Consults with the Supervising Physician , Physician , or Pediatric Advisor for complex medical, pediatric, ... services under the medical direction of the National Medical Director and Physician Supervisors who collaborate with CBP's Office of the Chief Medical Officer… more
- Catholic Health Initiatives (Houston, TX)
- …denial for reimbursement. Assess individual situations and makes appropriate referrals to physician advisor . Implements appeal process 4. Serves as resource for ... case management and social service professionals with regard to managed care contract interpretation 5. Provides information to CIC staff regarding medical record coding JOB DESCRIPTION Page 2 of 89 JOB DESCRIPTION MASTER TEMPLATE 6. Educates staff with… more
- Evolent (Austin, TX)
- … Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... more connected care journey. We are hiring for a Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:** The Practice… more
- Vighter Medical Group (Harlingen, TX)
- Supervisory Behavioral Health Advisor (SBHA), Local, Harlingen, Texas Job Details Job Location Harlingen, TX - Harlingen, TX Position Type Full Time Education Level ... Any Job Category Health Care Description Title:Supervisory Behavioral Health Advisor (SBHA) Location: Harlingen, Texas Position Type:Full time (30-40+ hours/week),… more
- Centene Corporation (Houston, TX)
- …Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider ... and making recommendation in areas of improvement + Strategic Advisor /Consultative skills, Emotional Intelligence, Communication/Public Speaking, Coaching/Training, Time Management,… more
- NTT America, Inc. (Dallas, TX)
- …and forward-thinking organization, apply now. We are currently seeking a Strategic Advisor - Technical Solutions - Healthcare Provider Vertical (REMOTE Role) to join ... have knowledge of Provider domains s such as Patient Engagement & Physician Experience Transformation, Provider Data, Analytics & Interoperability, EPIC (or any… more
- Vighter Medical Group (Laredo, TX)
- Regional Physician Supervisor (RSMD), Local, Laredo, Texas Job Details Job Location Laredo, TX - Laredo, TX Position Type Full Time Education Level Certification ... 25% Job Shift Any Job Category Health Care Description Title:Regional Physician Supervisor (RSMD) Location: Laredo, Texas Position Type:Full Time (30-40+… more
- MD Anderson Cancer Center (Houston, TX)
- …public. As a core member of our Human Resources Talent team, the Physician Recruiter for faculty positions will be instrumental in growing MD Anderson's leadership ... and physician pipeline in the years ahead. This position is...developing actionable strategies for successful outcomes. As a trusted advisor to hiring executives, they will cultivate and sustain… more